KRISTIN LYNN JOHNSON (NPI# 1528554748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528554748 |
| Entity Type | Individual |
| Full Name | KRISTIN LYNN JOHNSON |
| Credential | MA, CCC-SLP |
| Practice Address |
410 New Bridge St Ste 10a Jacksonville NC 28540 |
| Mailing Address |
410 New Bridge St Ste 10a Jacksonville NC 28540-4700 |
| Practice Telephone | 9103472212 |
| Practice Fax Number | 9103385013 |
| Mailing Telephone | 9103472212 |
| Mailing Fax Number | 9104838335 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 13027 | NC | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1289 Oliver St, Fayetteville, NC 283044450 | 9104838331 | 9104838335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639677602 | Kristin Colleen Johnson | Behavioral Analyst | 20 Centennial Rd, Telford, PA 18969-1204 | 2018-01-25 |
| 1740737154 | Kristin Starr Johnson | Nurse Practitioner | 740 S Limestone St B317, Lexington, KY 40536-0001 | 2016-09-01 |
| 1952746760 | Kristin Waugh Johnson | Physical Therapist | 1018 S Cleveland St, Philadelphia, PA 19146-2649 | 2013-05-07 |
| 1497039622 | Kristin Lynn Johnson | Registered Nurse | 249 Woodhull Ave, Port Jefferson Station, NY 11776-1327 | 2011-10-06 |
| 1457320327 | Kristin Mariah Johnson | Nurse Practitioner | 16 Railway Ave., Three Forks, MT 59752 | 2006-03-14 |
| 1285242768 | Kristin Johnson | Audiologist | 816 S Eldorado Rd Ste 1, Bloomington, IL 61704-6035 | 2020-07-21 |
| 1811531155 | Kristin A Johnson | Psychologist | 301 Troy Dr, Madison, WI 53704-1521 | 2019-10-30 |
| 1588216808 | Kristin L Johnson | Nurse Practitioner | 987400 Nebraska Medical Center, Omaha, NE 68198-0006 | 2019-07-16 |
| 1285109223 | Kristin Johnson | Behavior Technician | 1353 E Main St, Brownsburg, IN 46112-1433 | 2018-10-05 |
| 1992284103 | Kristin Marie Johnson | Nurse Practitioner | 4315 Highland Park Blvd, Suite A, Lakeland, FL 33813 | 2018-08-08 |
| Street Address |
410 NEW BRIDGE ST STE 10A |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881870707 | Maryann Rigney Hymel | Speech-Language Pathologist | 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 | 2008-01-10 |
| 1295334498 | Tara J Baran | Physical Medicine & Rehabilitation | 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 | 2020-10-20 |
| 1891301289 | Lindsay Elizabeth Lane | Physical Therapist | 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 | 2020-09-21 |
| 1831713353 | Katrina Smith | Occupational Therapist | 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 | 2020-06-01 |
| 1982238002 | Rachel Kearns | Speech-Language Pathologist | 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 | 2020-02-27 |
| 1376173005 | Victoria Smith Christmas | Occupational Therapist | 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 | 2020-01-22 |
| 1336605161 | Elizabeth Amidon | Occupational Therapist | 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 | 2019-02-18 |
| 1295189892 | Mia Patricia Walker | Occupational Therapist | 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 | 2016-04-20 |
| 1174909170 | Janine Kreider | Speech-Language Pathologist | 410 New Bridge St Ste 10a, Jacksonville, NC 28540-4700 | 2015-08-03 |
| 1790198240 | Melissa Miranda Capasso | Physical Therapist | 410 New Bridge St Ste 10a, Jacksonville, NC 28540 | 2014-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848514 | Danielle Huckaba | Speech-Language Pathologist | 12023 Wren Hollow Ct, Jacksonville, FL 32246-7787 | 2020-07-22 |
| 1699392209 | Paige E Searcy | Speech-Language Pathologist | 907 Greenridge Rd, Jacksonville, FL 32207-5251 | 2020-06-30 |
| 1568086619 | Carmen Schneider | Speech-Language Pathologist | 7701 Timberlin Park Blvd Apt 831, Jacksonville, FL 32256-5447 | 2020-06-04 |
| 1730702713 | Jennifer Horn Debardeleben | Speech-Language Pathologist | 2101 W Palm Ave, Jacksonville, FL 32254-1734 | 2020-05-25 |
| 1508485509 | Growing Voices Therapies, LLC | Speech-Language Pathologist | 12964 Julington Ridge Dr E, Jacksonville, FL 32258-3412 | 2020-04-10 |
| 1215561352 | Lori Connon | Speech-Language Pathologist | 2334 Covington Creek Cir W, Jacksonville, FL 32224-1177 | 2020-02-27 |
| 1922631779 | Homegrown Communication-slp, LLC | Speech-Language Pathologist | 5163 Shirley Ave, Jacksonville, FL 32210-3145 | 2020-02-20 |
| 1194357517 | Lauren Lynne Blunk | Speech-Language Pathologist | 1010 N Davis St, Jacksonville, FL 32209-6824 | 2020-02-05 |
| 1669018255 | Ying Dong | Speech-Language Pathologist | 7262 Deerfoot Point Cir Unit 3, Jacksonville, FL 32256-8623 | 2019-11-19 |
| 1710543764 | Lesley Nicole Summers | Speech-Language Pathologist | 6817 Southpoint Pkwy Ste 1701, Jacksonville, FL 32216-6298 | 2019-05-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on KRISTIN LYNN JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.